Organization Active NPI

Suzanne S Sparks

  • Certified Registered Nurse Anesthetist
  • Georgetown, TX
National Provider Identifier
1497159396
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARPN547197 Issued in TX
Legal business name
SUZANNE S SPARKS
Practice address
101 Big Oak LN
Georgetown, TX 78633-6603
Phone
(817) 946-3397
NPI assigned
Oct 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Suzanne S Sparks, CRNANPI 1881741551
Title
Owner
Phone
(817) 946-3397

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X ARPN547197 TX Primary

Addresses

Primary practice location

101 Big Oak LN
Georgetown, TX 78633-6603

Mailing address

101 Big Oak LN
Georgetown, TX 78633-6603
Phone (817) 946-3397

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1497159396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BIG OAK LN",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786336603",
            "telephone_number": "817-946-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BIG OAK LN",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786336603",
            "telephone_number": "817-946-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE S SPARKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-946-3397",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "ARPN547197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.